The New York Request Form is a crucial document used to obtain certified records from the Department of Motor Vehicles (DMV). This form allows individuals to request their own DMV records or those of another person, ensuring compliance with specific guidelines and regulations. Understanding the steps involved in completing this form is essential for anyone seeking access to these important records.
The New York Request form, specifically designed for obtaining certified DMV records, outlines a structured process for individuals seeking access to their own or another person's driving history. This form is essential for anyone needing to request various types of DMV records, such as driving abstracts, registration information, or ticket dispositions. To successfully complete the request, users must follow specific steps, including providing the correct mailing address, personal information, and the type of records desired. Additionally, acceptable payment methods must be included, along with a photocopy of identification or notarization of the requestor's signature. The form also highlights permissible uses for the requested records, ensuring compliance with privacy regulations under the Driver Privacy Protection Act. For government agencies and certain organizations, exemptions from fees apply, provided they meet specific criteria. Proper submission of the completed form, payment, and identification is crucial for processing the request efficiently.
Here are ten common misconceptions about the New York Request form for DMV records:
When filling out the New York Request form for DMV records, there are several important dos and don'ts to keep in mind. This will help ensure that your request is processed smoothly and efficiently.
The New York Request form for certified DMV records shares similarities with several other documents used for requesting information or records. Below is a list of seven such documents, along with a brief explanation of how each is similar to the New York Request form:
REQUEST FOR CERTIFIED DMV RECORDS
INSTRUCTIONS FOR ORDERING YOUR OWN DMV RECORD
To order your own DMV record, but not a title record, use this checklist to complete all of the requirements listed below. (Read about title records in the note at the bottom of this section.) You must:
Provide the name and address of where to send your record(s) in Step 1 .
Provide your name, address and signature in Step 2 .
Check the box next to each type of record that you want and provide as much search information as possible in Step 3 .
Enclose an acceptable form of payment according to the instructions in Step 4 .
Include a photocopy of your driver license or government-issued identification card with this request form or have your signature notarized in Step 5 .
NOTE: Sometimes, title (vin) abstracts may contain the names of other individuals, so you must check one or more of the permissible uses that are listed and sign the certification in Step 5 .
INSTRUCTIONS FOR ORDERING ANOTHER PERSON’S DMV RECORD
To order another person’s DMV record, use this checklist to complete all of the requirements listed below. You must:
Provide the name and address of where to send the record(s) in Step 1 .
Provide your name and address in Step 2 .
Have one or more of the permissible uses described in Step 5 . Check all of the permissible uses that apply and sign the certification.
Include a photocopy of your driver license or government-issued identification card with this request form or have your
signature notarized in Step 5 .
Exemption from fees: Government Agencies; public officers, boards or bodies; volunteer fire companies and ambulance services; legal aid bureaus or societies or any private entity acting pursuant to NY County Law § 722 are exempt as long as the Agency identifies themselves, that the records being requested are for business use, and the records are mailed to the requesting Agency’s business address.
Exemption cannot be used to obtain your own personal records, or V&T Law Books.
MAIL YOUR completed MV-15 form, payment, and identification to:
NYS DEPARTMENT OF MOTOR VEHICLES, MV-15 PROCESSING, 6 EMPIRE STATE PLAZA, ALBANY NY 12228
DO NOT STAPLE
Your return receipt
STEP 1
DMV OFFICE USE ONLY
No record
ABS___ HIS___ TCK___ SUS___ INS___
$_____
Abstract(s)
Life___
Stnd___
Reg___ Ttl___
Ins___
History ADD___
REG___
Print/Type name and mailing address where the
Ticket(s)/Disposition(s) _________________________
records will be mailed
Suspensions/Revocations
Lic___ Reg___
Name
Address1
TOTAL FEE
$
Address2
Initials ____________
City,
Date ____________
Amount Received
State,
Zip
FT # ____________
REFUND (IF ANY)
MV-15 (1/21)
PAGE 1 OF 3
STEP 2 REQUESTOR’S INFORMATION
LAST NAME
FIRST
M.I.
ADDRESS WHERE YOU GET YOUR MAIL (INCLUDE STREET & NO.)
APT #
CITY
STATE
ZIP CODE
SIGNATURE
EMAIL ADDRESS
X
DAYTIME PHONE NUMBER (REQUIRED):
o Check here if the mailing address you provided in Step 1 is different from the requestor’s address.
oCheck here to have your certified records sent electronically. Print or type your email address below. Records sent electronically WILL NOT be mailed.
STEP 3 CHECK THE BOX NEXT TO EACH TYPE OF RECORD THAT YOU WANT (SEARCH INFORMATION REQUIRED)
Provide as much search information as you know about the record(s) you are requesting.
DATE OF BIRTH
SEX
N.Y. DRIVER OR NON-DRIVER ID #
MAILING ADDRESS (INCLUDE STREET & NO.)
TICKET NUMBER of SUSPENSION ORDER NUMBER
DATE OF VIOLATION
OFFENSE
# of copies
Fee
Total
LICENSE
o DRIVING ABSTRACT (displays records for the last 4 years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o DRIVING RECORD HISTORY* (referred to as “LIFETIME ABSTRACT”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*DMV can only provide this type of abstract to the individual whose name is on the record. Examples of when this may be required include: background checks, bar exam, applicants for a license in U.S. or Canada, and an attorney reviewing client’s entire record.
*If your lawyer, court personnel or someone other than YOU is requesting your Lifetime abstract, they must include form MV-15GC. Go to dmv.ny.gov to get the form.
*Note - this history does not always include information that dates back to when a person was originally granted driving privileges. Some information is purged, as required by law.
x $10 each = $
0
REGISTRATION / OWNER
o ADDRESS HISTORY (only your own address history)
x
$10 each
=
o TICKET DISPOSITION* (includes photocopy of ticket or copy of electronic record)
*DMV does not retain parking tickets - contact city, town or village
o DRIVER LICENSE REVOCATION/SUSPENSION ORDER
IF YOU WANT MORE THAN ONE TICKET, DISPOSITION, OR SUSPENSION ORDER, PLEASE ATTACH A LIST AND INCLUDE $10 FOR EACH ONE
OR
PLATE
YEAR
MAKE
MODEL
VIN #
# of copies Fee
o INSURANCE INFORMATION SEARCH/ACTIVITY REPORT
. .
. . . . . . . . . . . . . . . . .
x $10 each
= $
o If crash/accident related, please include date of crash/accident
o LIST OF AN INDIVIDUAL’S CURRENT AND PREVIOUS VEHICLE REGISTRATION (PLATES) (if available)
o VEHICLE REGISTRATION (PLATE) ABSTRACT
o VEHICLE REGISTRATION SUSPENSION ORDER
o VEHICLE TITLE (VIN) ABSTRACT (Owner - only includes active lien information)
. . . . . . . . . . . . . . .
IF YOU WANT MORE THAN ONE PLATE, VIN ABSTRACT OR SUSPENSION ORDER, PLEASE ATTACH A LIST AND INCLUDE $10 FOR EACH ONE
Please calculate the total for each of the items you want and enter the total here
TO TA L D U E $ 0
STEP 4
PAYMENT METHOD - DO NOT SEND CASH
lMake checks payable to the “Commissioner of Motor Vehicles”
lPlease remember to SIGN YOUR CHECK
lNo starter checks
lUS Funds only
o Check
o Money Order o Exempt
o DMV Debit account number
PAGE 2 OF 3
STEP 5 PERMISSIBLE USE(S) & CERTIFICATION
Driver Privacy Protection Act: The Federal Driver’s Privacy Protection Act (DPPA) (18 U.S.C. §2721.et seq.) (“DPPA”) regulates access to Motor Vehicles records. Recipient hereby certifies that the information provided hereunder by DMV shall be used solely for the following purpose(s).
(Recipient must check all that apply.)
1.Use in any civil, criminal, administrative, or arbitral proceeding in any court or agency, including the service of process, investigation in anticipation of litigation, and the execution or enforcement of judgments and orders or pursuant to a court order. (18 U.S.C. §2721 (b)(4))
2.Use by an insurer or insurance support organization or self-insured entity in claims investigations, anti-fraud activities, rating or underwriting activities. (18 U.S.C. §2721 (b)(6))
3.Use in providing notice to the owners of towed or impounded vehicles. (18 U.S.C. §2721 (b)(7))
4.Use by an employer, its agent or insurer to obtain information relating to the holder of a commercial driver's license required under Chapter 313 of Title 49 of the U.S.C. (18 U.S.C. §2721 (b)(9))
5.For use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only-
(A)to verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or contractors; (18 U.S.C. §2721 (b)(3)(A)) and
(B)if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purposes of preventing fraud by, pursuing legal remedies against, or recovering on a debt or security interest against, the individual. (18 U.S.C. §2721 (b)(3)(B))
6.Use required under NYS Vehicle and Traffic Law, Article 19A - Special Requirements for Bus Drivers. (18 U.S.C. §2721 (b)(14))
7.Use required under NYS Vehicle and Traffic Law, Article 19B - Special Requirements for Commercial Motor Carriers.
(18 U.S.C. §2721 (b)(14))
8.Use by any government agency, including any court or law enforcement agency, in carrying out its functions. (18 U.S.C. §2721 (b)(1))
9.Use by any private person or entity acting on behalf of a federal, state, or local agency in carrying out its functions. (18 U.S.C. §2721 (b)(1))
10.Use in matters of motor vehicle or driver safety. (18 U.S.C. §2721 (b)(2))
11.Use in matters of motor vehicle theft. (18 U.S.C. §2721 (b)(2))
12.Use in matters of motor vehicle emissions. (18 U.S.C. §2721 (b)(2))
13.Use in matters of motor vehicle product alterations, recalls or advisories. (18 U.S.C. §2721 (b)(2))
14.Use in performance monitoring of motor vehicles, motor vehicle parts and dealers. (18 U.S.C. §2721 (b)(2))
15.Use in motor vehicle market research activities, including survey research. (18 U.S.C. §2721 (b)(2))
16.Use in removal of non-owner records from the original owner records of motor vehicle manufacturers. (18 U.S.C. §2721 (b)(2))
17.Use in the operation of private toll transportation facilities. (18 U.S.C. §2721 (b)(10))
18.For use by any requester, if the requester demonstrates it has obtained the written consent of the individual to whom the information pertains. (May use form MV-15GC). (18 U.S.C. §2721 (b)(13))
19.Use specifically authorized under NYS law, IF such use is related to the operation of a motor vehicle or public safety.
Cite the specific NYS law here:
20.Use in research activities and in producing statistical reports, as long as the personal information is not published, disclosed or used to contact individuals. (18 U.S.C. §2721 (b)(5))
To knowingly make a false statement or conceal a material fact in this written statement may be punishable as a criminal offense. In addition, anyone who makes false representation to obtain any personal information from an individual’s Motor Vehicles record is subject to federal criminal fines under the Driver’s Privacy Protection Act (DPPA).
YOU MUST ATTACH A COPY OF YOUR ID.
I certify that I have read the Drivers Privacy Protection Act (18 U.S.C. Sec 2721 et seq.) and will comply fully with the terms of such law. I also agree to defend, hold harmless and indemnify DMV from all actions brought against DMV, or damages alleged against DMV, for my negligent, improper or unauthorized use or dissemination of the information provided by the DMV.
I certify that if I receive or have access to records or information from the DMV, I shall not (i) use such records or information for civil immigration purposes or (ii) disclose such records or information to any agency that primarily enforces immigration law, such as U.S. immigration and customs enforcement and U.S. customs and border protection, or to any employee or agent of any such agency unless such disclosure is pursuant to a cooperative arrangement between city, state and federal agencies which does not enforce immigration law and which disclosure is limited to the specific records or information being sought pursuant to such arrangement. I certify that, in addition to the requirements of 18 USC 2721(c), I shall keep for a period of five years records of all uses and identifying each person or entity that primarily enforces immigration law that received department records or information from such certifying person or entity. I shall maintain the records in a manner and form prescribed by the commissioner, and I shall make them available for inspection upon the commissioner’s request.
Signature X
Print Name
Date:
PLEASE DO NOT STAPLE
PAGE 3 OF 3
The New York Request form is designed to allow individuals to request their own DMV records or the records of another person. This may include driving abstracts, ticket dispositions, or vehicle registration information, among other types of records.
To order your own DMV record, follow these steps:
Yes, you can request another person's DMV record, but you must meet specific requirements. These include providing your name and address, checking the boxes for the records you want, and indicating the permissible uses for the information. Additionally, you must include a photocopy of your ID or have your signature notarized.
You can request various types of records, including:
Each type of record typically costs $10. You must calculate the total fee based on the number of records you are requesting and include that amount with your application.
Yes, certain government agencies, public officers, and volunteer organizations may be exempt from fees. However, this exemption cannot be used to obtain personal records or V&T Law Books.
Your completed MV-15 form, along with payment and identification, should be mailed to:
NYS DEPARTMENT OF MOTOR VEHICLES, MV-15 PROCESSING, 6 EMPIRE STATE PLAZA, ALBANY NY 12228.
If you prefer to receive your certified records electronically, you can check the appropriate box on the form and provide your email address. Please note that records sent electronically will not be mailed.
Failure to provide all required information may result in delays or the rejection of your request. It is crucial to follow the checklist provided in the form carefully.
Permissible uses include legal proceedings, insurance investigations, and government agency functions. You must check all applicable uses on the form and sign the certification to comply with the Driver Privacy Protection Act.
Completing the New York Request form requires careful attention to detail. By following the steps below, you can ensure that your request is processed smoothly. Remember to gather all necessary information and documents before you begin filling out the form.
After completing these steps, review your form for accuracy. Once you are confident that everything is in order, mail your completed form, payment, and identification to the designated DMV address. This will initiate the processing of your request.
When filling out the New York Request form for DMV records, people often make several common mistakes that can lead to delays or even denials of their requests. One frequent error is failing to provide complete and accurate information in Step 1. This step requires the name and address where the records should be sent. Omitting this crucial detail can result in the request being returned or processed incorrectly.
Another mistake occurs in Step 2, where individuals must provide their own name, address, and signature. Some people forget to sign the form, thinking that providing their name and address is sufficient. Without a signature, the request is incomplete and cannot be processed. Additionally, it’s essential to ensure that the information matches what is on file with the DMV to avoid any discrepancies.
In Step 3, applicants are instructed to check the box next to each type of record they want. A common oversight is failing to check any boxes at all. This oversight can lead to confusion about what records are being requested. Furthermore, providing insufficient search information can hinder the DMV’s ability to locate the correct records. Including as much detail as possible, such as dates of birth and ticket numbers, is vital for a smooth process.
Step 4 requires enclosers to include an acceptable form of payment. Many people mistakenly send cash, which is not permitted. Instead, checks or money orders should be made out to the “Commissioner of Motor Vehicles.” Additionally, it’s crucial to sign the check; otherwise, it may be rejected. Forgetting to include payment altogether is another common error that can stall the request.
In Step 5, individuals must check the permissible uses for the requested records and sign the certification. A significant mistake is failing to check any boxes or not understanding the permissible uses listed. This can lead to the request being denied, as the DMV needs to ensure that the records are being requested for legitimate reasons.
Lastly, a frequent error involves not including a photocopy of the driver’s license or government-issued ID. This requirement is essential for identity verification. Some individuals mistakenly believe that providing their signature is enough, but without proper identification, the request cannot be processed. Notarizing the signature can also be overlooked, which is necessary in certain situations.
By being mindful of these common mistakes, individuals can ensure that their requests for DMV records are processed efficiently and without unnecessary delays. Taking the time to double-check each step can save a lot of frustration in the long run.
To request your own DMV record, ensure you provide your name and address in the designated sections.
Clearly indicate the type of records you wish to obtain by checking the appropriate boxes and supplying as much information as possible.
Include a payment method that complies with the instructions provided. Acceptable forms include checks or money orders.
Attach a photocopy of your driver license or a government-issued ID. Alternatively, you may have your signature notarized.
If you are requesting someone else's DMV record, you must specify the permissible use of the information and sign the certification.
Be mindful that certain entities, such as government agencies, may be exempt from fees when requesting records for business purposes.
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